NPI | 1609030246 |
---|---|
Doing Business As | SIGNAL RIDGE DENTAL |
Entity Type | Organization |
Authorized Contact | DOUGLAS J HORTON Owner 319-393-0773 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 6174) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2008-07-14 |